St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW HEAD MINI

Facility

$813.05

Service Code	HCPCS C1713
Hospital Charge Code	64907410
Hospital Revenue Code	278
Min. Negotiated Rate	$406.52
Max. Negotiated Rate	$406.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$406.52
Rate for Payer: Hamaspik Choice Inc Medicare	$406.52

SCREW HEX FEMALE 2.5MM

Facility

$372.50

Service Code	HCPCS C1713
Hospital Charge Code	64905315
Hospital Revenue Code	278
Min. Negotiated Rate	$186.25
Max. Negotiated Rate	$186.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$186.25
Rate for Payer: Hamaspik Choice Inc Medicare	$186.25

SCREW HEX FEMALE 2.5MM

Facility

$372.50

Service Code	HCPCS C1713
Hospital Charge Code	64905315
Hospital Revenue Code	278
Min. Negotiated Rate	$130.38
Max. Negotiated Rate	$391.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$204.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$223.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$186.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$214.19
Rate for Payer: EmblemHealth Commercial	$186.25
Rate for Payer: Fidelis Medicare Advantage	$391.12
Rate for Payer: Group Health Inc Commercial	$186.25
Rate for Payer: Group Health Inc Medicare	$130.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$186.25
Rate for Payer: Hamaspik Choice Inc Medicare	$186.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$242.12

SCREW HEX PSN 2.5M FEM 25MM

Facility

$372.50

Service Code	HCPCS C1713
Hospital Charge Code	64905513
Hospital Revenue Code	278
Min. Negotiated Rate	$130.38
Max. Negotiated Rate	$391.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$204.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$223.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$186.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$214.19
Rate for Payer: EmblemHealth Commercial	$186.25
Rate for Payer: Fidelis Medicare Advantage	$391.12
Rate for Payer: Group Health Inc Commercial	$186.25
Rate for Payer: Group Health Inc Medicare	$130.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$186.25
Rate for Payer: Hamaspik Choice Inc Medicare	$186.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$242.12

SCREW HEX PSN 2.5M FEM 25MM

Facility

$372.50

Service Code	HCPCS C1713
Hospital Charge Code	64905513
Hospital Revenue Code	278
Min. Negotiated Rate	$186.25
Max. Negotiated Rate	$186.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$186.25
Rate for Payer: Hamaspik Choice Inc Medicare	$186.25

SCREW HEX PSN 2.5MM FEMALE 25MM

Facility

$542.00

Service Code	HCPCS C1713
Hospital Charge Code	40204598
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$569.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$298.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$325.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$271.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$311.65
Rate for Payer: EmblemHealth Commercial	$271.00
Rate for Payer: Fidelis Medicare Advantage	$569.10
Rate for Payer: Group Health Inc Commercial	$271.00
Rate for Payer: Group Health Inc Medicare	$189.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$271.00
Rate for Payer: Hamaspik Choice Inc Medicare	$271.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$352.30

SCREW HEX PSN 2.5MM FEMALE 25MM

Facility

$542.00

Service Code	HCPCS C1713
Hospital Charge Code	40204598
Hospital Revenue Code	278
Min. Negotiated Rate	$271.00
Max. Negotiated Rate	$271.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$271.00
Rate for Payer: Hamaspik Choice Inc Medicare	$271.00

SCREW, HEX PSN 2.5MM FEMALE 25MM

Facility

$542.00

Service Code	HCPCS C1776
Hospital Charge Code	40007517
Hospital Revenue Code	278
Min. Negotiated Rate	$189.70
Max. Negotiated Rate	$569.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$298.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$325.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$271.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$311.65
Rate for Payer: EmblemHealth Commercial	$271.00
Rate for Payer: Fidelis Medicare Advantage	$569.10
Rate for Payer: Group Health Inc Commercial	$271.00
Rate for Payer: Group Health Inc Medicare	$189.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$271.00
Rate for Payer: Hamaspik Choice Inc Medicare	$271.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$352.30

SCREW, HEX PSN 2.5MM FEMALE 25MM

Facility

$542.00

Service Code	HCPCS C1776
Hospital Charge Code	40007517
Hospital Revenue Code	278
Min. Negotiated Rate	$271.00
Max. Negotiated Rate	$271.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$271.00
Rate for Payer: Hamaspik Choice Inc Medicare	$271.00

SCREW HFN LAG 10.5MM X 115MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40003337
Hospital Revenue Code	278
Min. Negotiated Rate	$848.00
Max. Negotiated Rate	$848.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00

SCREW HFN LAG 10.5MM X 115MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40003337
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,780.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$932.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,017.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$848.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$975.20
Rate for Payer: EmblemHealth Commercial	$848.00
Rate for Payer: Fidelis Medicare Advantage	$1,780.80
Rate for Payer: Group Health Inc Commercial	$848.00
Rate for Payer: Group Health Inc Medicare	$593.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,102.40

SCREW HFN LAG 10.5MM X 115MM

Facility

$2,120.00

Service Code	HCPCS C1713
Hospital Charge Code	64905654
Hospital Revenue Code	278
Min. Negotiated Rate	$1,060.00
Max. Negotiated Rate	$1,060.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,060.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,060.00

SCREW HFN LAG 10.5MM X 115MM

Facility

$2,120.00

Service Code	HCPCS C1713
Hospital Charge Code	64905654
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,226.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,166.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,272.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,060.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,219.00
Rate for Payer: EmblemHealth Commercial	$1,060.00
Rate for Payer: Fidelis Medicare Advantage	$2,226.00
Rate for Payer: Group Health Inc Commercial	$1,060.00
Rate for Payer: Group Health Inc Medicare	$742.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,060.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,060.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,378.00

SCREW HFN LAG 10.5MMX115MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40204644
Hospital Revenue Code	278
Min. Negotiated Rate	$848.00
Max. Negotiated Rate	$848.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00

SCREW HFN LAG 10.5MMX115MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40204644
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,780.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$932.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,017.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$848.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$975.20
Rate for Payer: EmblemHealth Commercial	$848.00
Rate for Payer: Fidelis Medicare Advantage	$1,780.80
Rate for Payer: Group Health Inc Commercial	$848.00
Rate for Payer: Group Health Inc Medicare	$593.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,102.40

SCREW HFN LAG 10.5MM X 95MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40003339
Hospital Revenue Code	278
Min. Negotiated Rate	$848.00
Max. Negotiated Rate	$848.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00

SCREW HFN LAG 10.5MM X 95MM

Facility

$2,120.00

Service Code	HCPCS C1713
Hospital Charge Code	64905501
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,226.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,166.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,272.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,060.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,219.00
Rate for Payer: EmblemHealth Commercial	$1,060.00
Rate for Payer: Fidelis Medicare Advantage	$2,226.00
Rate for Payer: Group Health Inc Commercial	$1,060.00
Rate for Payer: Group Health Inc Medicare	$742.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,060.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,060.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,378.00

SCREW HFN LAG 10.5MM X 95MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40003339
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,780.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$932.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,017.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$848.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$975.20
Rate for Payer: EmblemHealth Commercial	$848.00
Rate for Payer: Fidelis Medicare Advantage	$1,780.80
Rate for Payer: Group Health Inc Commercial	$848.00
Rate for Payer: Group Health Inc Medicare	$593.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,102.40

SCREW HFN LAG 10.5MM X 95MM

Facility

$2,120.00

Service Code	HCPCS C1713
Hospital Charge Code	64905501
Hospital Revenue Code	278
Min. Negotiated Rate	$1,060.00
Max. Negotiated Rate	$1,060.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,060.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,060.00

SCREW HFN LAG 10.5MMX95MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40204589
Hospital Revenue Code	278
Min. Negotiated Rate	$848.00
Max. Negotiated Rate	$848.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00

SCREW HFN LAG 10.5MMX95MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40204589
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,780.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$932.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,017.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$848.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$975.20
Rate for Payer: EmblemHealth Commercial	$848.00
Rate for Payer: Fidelis Medicare Advantage	$1,780.80
Rate for Payer: Group Health Inc Commercial	$848.00
Rate for Payer: Group Health Inc Medicare	$593.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,102.40

SCREW HFN LAG 10.MM X 95MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40007508
Hospital Revenue Code	278
Min. Negotiated Rate	$848.00
Max. Negotiated Rate	$848.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00

SCREW HFN LAG 10.MM X 95MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40007508
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,780.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$932.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,017.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$848.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$975.20
Rate for Payer: EmblemHealth Commercial	$848.00
Rate for Payer: Fidelis Medicare Advantage	$1,780.80
Rate for Payer: Group Health Inc Commercial	$848.00
Rate for Payer: Group Health Inc Medicare	$593.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,102.40

SCREW HMMF 2.0 X 6MM A

Facility

$315.00

Service Code	HCPCS C1713
Hospital Charge Code	64905464
Hospital Revenue Code	278
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$157.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$157.50
Rate for Payer: Hamaspik Choice Inc Medicare	$157.50

SCREW HMMF 2.0 X 6MM A

Facility

$315.00

Service Code	HCPCS C1713
Hospital Charge Code	64905464
Hospital Revenue Code	278
Min. Negotiated Rate	$110.25
Max. Negotiated Rate	$330.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$173.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$189.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$157.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$181.12
Rate for Payer: EmblemHealth Commercial	$157.50
Rate for Payer: Fidelis Medicare Advantage	$330.75
Rate for Payer: Group Health Inc Commercial	$157.50
Rate for Payer: Group Health Inc Medicare	$110.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$157.50
Rate for Payer: Hamaspik Choice Inc Medicare	$157.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$204.75

Know your out-of-pocket cost for care.

All Charges